ArticleJournal of speech, language, and hearing research : JSLHR2024
Evaluating Stuttering Self-Stigma and Its Relationship to Adverse Impact in Children and Adolescents With the Child Stuttering Self-Stigma Scale.
Article in Journal of speech, language, and hearing research : JSLHR, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Social Isolation in Adults Who Stutter: A Mixed-Methods Investigation of Risk and Correlates.American journal of speech-language pathology · 2026Article
- Psychometric Validation of a Spanish-Chilean Instrument for Assessing Public Attitudes Toward Childhood Stuttering: Construct Validity and Internal Consistency.Children (Basel, Switzerland) · 2026Article
- Predicting the impact of stuttering in the school years.Frontiers in psychology · 2026Article
- The Significance of a Higher Prevalence of ADHD and ADHD Symptoms in Children Who Stutter.Journal of speech, language, and hearing research : JSLHR · 2025Article
- An Exploratory Comparison of Attitudes toward Stuttering and Cluttering of Chinese Practicing Speech and Language Therapists and SLT Students.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2025Article
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Authors and funding
5 authors.
Funding
Abstract
purposeSelf-stigma occurs when a person internalizes and applies stereotypes, prejudice, and discrimination to themselves. For adults who stutter, self-stigma is linked to negative outcomes and reduced quality of life. The development of self-stigma in people who stutter is not well understood. The aim of this study is to evaluate stuttering self-stigma in school-age children and adolescents and explore potential relationships to stuttering's overall adverse impact.
methodOne hundred one children and adolescents who stutter, aged 10-18 years, completed the Overall Assessment of the Speaker's Experience of Stuttering (OASES), a measure of adverse impact related to stuttering, and the Childhood Self-Stigma of Stuttering Scale (Child 4S), our novel adapted version of the Self-Stigma of Stuttering Scale (4S) created for this study. The Child 4S comprises three subscales measuring three stages of self-stigma: Awareness, Agreement, and Application. Each stage was evaluated for relationships with child age and the adverse impact of stuttering.
resultsWe found a range of self-stigma scores among children and adolescents who stutter. Child age did not correlate with Awareness and Agreement; however, older children and adolescents reported greater Application. All stages of self-stigma strongly predicted adverse impact as measured by the OASES, and latter stages of the model were stronger predictors than earlier stages.
conclusionsChildren as young as 10 years old may experience stuttering self-stigma, and the application of self-stigma increases in adolescence, a critical period in the development of personal identity. Importantly, all stages of self-stigma predicted adverse impact related to stuttering, with latter stages being stronger predictors than earlier ones consistent with the progressive model of self-stigma being tested. The findings highlight the need for targeted, early intervention to mitigate downstream effects of stuttering self-stigma. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.26352556.
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